1650 PARK TER E -NEW ELECTRIC SERVICE 4��^,r�t-ky_ „,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0110
800 SEMINOLE ROAD ISSUED: 4/9/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/6/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county,and there may be additional permits required from other
governmental entities such as water management districts,state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1650 E PARK TER ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $4800.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0308 SELVA MARINA UNIT 07
COMPANY: ADDRESS: I CITY: I STATE: ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
Sean Traynor 1952 W. Sevilla Blvd. ATLANTIC BEACH FL 32233-5824
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$129.00
Issued Date:4/9/2019 1 of 2
Electrical Permit Application **ALL INFORMATION
ef;;;) HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
® 800 Seminole Rd, Atlantic Beach, FL 32233 ER S( 9 0// 0
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:6Q IF-042
JOB ADDRESS: l C S 0 Par V-, I tV r-G C €. PROJECT VALUE$ /-f Ue)•
JEA INFORMATION REQUIRED ON ALL PERMITS: 2OO AMPS 2140 VOLTS I PHASE
El NEW SERVICE: o Overhead IitfJnderground nUnderground up Pole
❑Residential(Main)Service:
❑0-100 amps o101-150amps o151-200amps o amps #of Meters
oCommercial(Main)Service:
n0-100 amps n101-150amps o151-200amps o amps oCT Service amps
Conductor Type Size
oMulti-Family(Main)Service:
o0-100 amps n101-150amps o151-200amps o amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: o amps oCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
n100 amps n150amps n200amps o amps oCT Service amps
❑ ADDITIONS, REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-100amps 101-200a mps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
El OTHER ELECTRICAL PROJECTS:
❑Swimming Pool [Sign oSmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps •
n REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can oSafety Inspection oPanel Change ❑OH to UG
uOther: Updated 10/17/]8
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: .
fret.hD C Phone Number:
Electrical Company:
opliY1 Y}-Nei -e C.-/lc—
Co.
Phone: apt ) —C�C�St Fax:
Co.Address: �Q(S ( I .. S• City: - 11 1`�L1 State:-R.... Zip: ASO
License Holder: - kv-e._ $AV) 131-11- State Certification/Registration#: �R ( J2-SS 2•3
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this q day of Q t.,' 0\Ci,i the State of FI arida,County of--.0-.ti o'(
Signature of Nota Public
g Notary 1 0 r 1 ��� I �t,i 1
i ,[Y p,, ELIZABETH ANNE LANGILLE I
c.. .. Notary Public.State of Florida• personally Known OR[ ]Produced Identification
�e`% Commission a GG 284141
'{........ My Comm.Expires Dec 13,2022 Y e of Identification:
Bonded throu4h National Notary Assn.
rS 0�Jf�l1
' Cash Register Receipt Receipt Number
�r4
j
City of Atlantic Beach R8713
�Ji
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $129.00
ERES19-0110 Address: 1650 E PARK TER APN: 172020 0308 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8713 $129.00
Date Paid: Tuesday, April 09, 2019
Paid By: KNIGHT ELECTRIC LLC
Cashier: CT
Pay Method: CREDIT CARD 054359
Printed:Tuesday,April 09,2019 4:44 PM 1 of 1 Tri